Quality Of Health Services Research Articles

Analisis Manajemen Sumber Daya Manusia dalam Meningkatkan Kinerja Tenaga Medis di Rumah Sakit

This study aims to analyze the role of human resource management (HRM) in improving the performance of medical personnel in hospitals. The method used is a descriptive study with a qualitative approach, involving interviews and observations of medical personnel and hospital management. The results of the study indicate that a strict recruitment and selection process, ongoing training programs, a transparent performance appraisal system, and fair compensation and incentives have a significant impact on improving the performance of medical personnel. Hospitals that implement effective HRM strategies can improve the quality of service, patient satisfaction, and loyalty of medical personnel. This study concludes that good HRM not only contributes to improving individual performance, but also supports the overall goals of the organization. The implications of this study indicate the importance of investing in HRM to create competent and motivated medical personnel, as well as to improve the quality of health services in hospitals.

The Role of the State in Health Law Enforcement in Indonesia: A Constitutional Law Perspective

The role of the state in enforcing health law in Indonesia is a crucial aspect aligned with constitutional provisions, particularly Article 28H paragraph (1) of the 1945 Constitution, which emphasizes the right to health. The state is expected to create a legal system that protects and fulfills the health rights of the community through the formulation of policies, regulations, and oversight of health service delivery. The implementation of Law No. 36 of 2009 on Health underscores the government's responsibility to provide accessible and quality health services. Health law enforcement includes actions against violations, including sanctions for providers that do not comply with standards. In this context, the state must also respond to health emergencies, such as pandemics, with swift and effective measures. Additionally, public participation in health decision-making processes is vital. In the long term, political commitment and adequate resource allocation are necessary to ensure the sustainability of health programs. Through a holistic, human rights-based approach, the state can create an inclusive and quality health system for all members of society.

Legal Implications in Health Services: Rights and Obligations of Medical Personnel and Patients

Health services play an important role in fulfilling human rights, especially the right to health. In this context, health law serves to protect the rights and obligations between medical personnel and patients. Various regulations, such as Law No. 36 of 2009 concerning Health and Law No. 29 of 2004 concerning Medical Practice, regulate standards and ethics in medical services. Medical personnel are required to provide professional services and respect patient rights, such as the right to information and consent, while patients are required to provide accurate information. However, legal issues such as malpractice and violations of patient rights often occur, which shows the importance of understanding and implementing the law in health services. The era of digitalization and the pandemic also presents new challenges, such as data security and electronic medical consent. Therefore, this study discusses the legal implications in health services, highlighting the importance of education and compliance with regulations to prevent conflict and improve the quality of services. By understanding each other's rights and obligations, it is hoped that a fairer, more transparent, and quality health service system can be created.

PENINGKATAN MUTU DAN EFISIENSI PELAYANAN KESEHATAN MELALUI IMPLEMENTASI REKAM MEDIS ELEKTRONIK DI RUMAH SAKIT HASTA HUSADA

Implementation of electronic medical records (RME) in hospitals has become an important step in improving the quality and efficiency of health services. Hasta Husada Hospital has adopted this system, but still faces various challenges. This study aims to analyze and evaluate improving the quality and efficiency of health services through the implementation of electronic medical records (RME) at Hasta Husada Hospital. This research uses a qualitative approach. The research results show that RME provides significant benefits, including fast and accurate access to patient data, increased work efficiency, and reduced medical errors. Although most users feel comfortable using RME after training, there are still complaints about the system interface needing to be simplified. User attitudes were generally positive towards RME after seeing real benefits, despite initial resistance. Implementation of the Hospital Management Information System (SIMRS) has shown mixed results, with some units having fully transitioned to RME and others still in the transition stage.

ANALISIS KUALITATIF REKAM MEDIS ELEKTRONIK PENDAFTARAN PASIEN RAWAT JALAN DI RSUD IBNU SINA GRESIK

This research examines the implementation of Electronic Medical Records (RME) in the outpatient registration process at Ibnu Sina Gresik Regional Hospital. Using qualitative research methods with a case study approach, this research involved in-depth interviews and direct observation of the use of RME by medical and administrative personnel. The results show that the implementation of RME at Ibnu Sina Gresik Regional Hospital provides a number of significant benefits, such as increased operational efficiency, better diagnostic accuracy, and reduced data input errors. However, challenges such as staff adaptation to new technology and system integration remain major concerns. Continuous evaluation is needed to ensure that the full potential of RME can be utilized to improve the quality of health services and overall patient satisfaction at RSUD Ibnu Sina Gresik.

Patients’ perception of quality of care in health facilities empanelled under Sehat-Card-Plus programme, in Khyber-Pakhtunkhwa, Pakistan

Objective:This study aims to assess perceived quality of care among users of hospitals empanelled under SCP Programme,KP.Methods: The assumed satisfaction level was 80% among SCP users, and 10%-point lower satisfaction among SCP nonusers.With a design effect of 1.5, 95% confidence level, and 80% power, the estimated total sample size was 972 patients,with equal group sizes of SCP users and SCP non-users. However, a total of 1,006 patients were included in the study, ofwhich 517 were SCP users and 489 were non-SCP users. Total samples were distributed across 38 facilities in KP, proportionalto average monthly admissions at each sampled facility. The data collection tool included 18 indicators of perceived qualityof care, spread across 6 domains.Results:The overall satisfaction level with the quality of care among SCP users was found higher, 81%, relative to non-users,79% (p<0.001). Disaggregated analysis across the study domains showed that the SCP non-users expressed higherperception about quality of hospital infrastructure and amenities relative to SCP users, whereas SCP users reported highersatisfaction with promptness of service, healthcare provider conduct, healthcare provider communication and quality ofhealth service delivery. Only 326 (63%) users and 299 (61%) non-users were satisfied with healthcare providercommunication. A total of 344 (67%) SCP users reported that Sehat Card Desk Representative gave them completeinformation about benefits and services under the programme.Conclusions: The SCP users reported high perceived quality of care. Further in-depth qualitative assessment isrecommended to explain these findings.Keywords: Social health insurance, Quality of care, Sehat Card Plus Programme, Patient satisfaction, Khyber Pakhtunkhwa

Assessment of Human Resource Management Functions at RSUD Datu Sanggul

The public sector, particularly hospitals, plays a crucial role in the provision of quality health services. However, many hospitals, including RSUD Datu Sanggul, face challenges in human resource management (HRM) that result in service performance. This study aims to analyze the functions of human resource management (HRM) in the Regional General Hospital (RSUD) Datu Sanggul and its impact on service performance, especially in the Surgical Poly. The method used is a qualitative approach with an exploratory design. Data were collected through observation, questionnaires, and documentation studies, involving 14 hospital leaders as respondents. The results showed that the recruitment and selection process of medical personnel at RSUD Datu Sanggul was still less than optimal, with several inequities and competency mismatches. The implementation of training and development programs for medical personnel recorded activities, but the evaluation of the results was minimal, indicating a lack of impact on performance improvement. In addition, performance appraisal systems and compensation policies also need to be improved to attract and retain medical personnel. This study provides recommendations to improve transparency and standards in the recruitment process, training evaluation, and compensation policy adjustments in order to improve the quality of health services at RSUD Datu Sanggul

24. CURRENT STATUS OF MENTAL HEALTH CARE AT COMMUNE HEALTH STATIONS IN BEN TRE PROVINCE, 2024

Background: The increasing prevalence of mental disorders has highlighted the urgent need to enhance the quality of community-based mental health care. Objective: To evaluate the quality of community-based mental health services provided at commune health stations in Ben Tre province. Methods: A cross-sectional study design was employed to collect data from 157 commune health stations. Results: The community-based mental health program at commune health stations in Ben Tre has achieved relatively high outcomes, particularly in terms of treatment efficacy and functional recovery of patients. However, the quality of mental health care services still has limitations, especially in screening, case management, and rehabilitation. Factors influencing the quality of care include the qualifications of healthcare providers, supervision, and resource availability. Conclusion: To improve the quality of mental health care services, there is a need to enhance the capacity of healthcare workers, strengthen supervision, ensure adequate resources, and establish effective inter-sectoral coordination mechanisms.

Measurement-Based Care as a Tool to Detect and Prevent Harm in Youth Psychotherapy.

Measurement-based care (MBC), the use of routine assessment to guide clinical decision-making, has the potential to significantly enhance the quality of mental health services for youth by improving the detection and prevention of harm. Concerns exist, however, that widespread efforts to implement MBC may have a negative impact on youth mental health care. We explore both perspectives by describing how MBC can be leveraged as a tool to detect and prevent harmful treatment in youth and how misapplication of MBC also has the potential to cause harm. This discussion focuses on how MBC can help therapists identify harm caused by ineffective practices (i.e., deterioration or no symptoms changes), poor client engagement (e.g., early drop-out, poor alliance), and adverse events (e.g., injury caused by treatment). We also discuss multi-level applications of aggregated MBC data to prevent harm through workforce development and organizational and health systems quality and cost of care improvement initiatives. Misapplication of MBC by failing to adhere to MBC best practices, overreliance on data above clinical judgement, providing insufficient organizational support, and using MBC data to justify cost containment are all discussed as possible sources of harm. We conclude with a discussion of future directions for research needed to advance the application of MBC to the prevention of harm in youth psychotherapy.

Bibliometric Analysis of Medical Professionals' Professionalism on Healthcare Service Quality: A Study Using VOSviewer

Bibliometric analysis is a method used to describe various scientific publications (Tupan et al., 2016). This study employs bibliometric analysis on several Scopus-indexed articles discussing the topic of medical professionalism and its impact on healthcare service quality, using VOSviewer software. The aim of the bibliometric analysis in this research is to understand the development of the topic, publication trends, statistics across different countries, and subject areas related to medical professionalism and healthcare service quality from 2016 to 2023. Data were retrieved from the Scopus database using the keywords "medical professionalism and quality of health service". The researchers then used VOSviewer software to analyze and visualize the retrieved database. The results comprised 194 documents, which were narrowed down to 182 documents for the period of 2016-2023.

WORK MOTIVATION OF HEALTH WORKERS IN INDRAGIRI HILIR DISTRICT: CHALLENGES AND HOPES

The purpose of this study is to analyse the work motivation of health workers in Indragiri Hilir Regency and to determine the impact faced and expectations of health workers. The intelligence and performance of human resources determine the quality of health services, which is determined by the motivational elements of health workers themselves. The research method is qualitative and case study in which researchers conducted in-depth interviews with health workers, doctors, nurses, midwives and observations at several health facilities. The results showed that the work motivation of health workers is influenced by management support factors, ways of working and incentives. They are faced with a lack of adequate health facilities, high workloads and uneven assignments in several sub-districts. In contrast, the expectations of health workers were that they would receive additional training, health facilities would be improved, and they would be rewarded for their contribution to health services. This study is expected to provide useful insights for policy makers in formulating strategies to improve the motivation and performance of health workers.

A Model to Strengthen the Quality of Midwifery Education: A Grounded Theory Approach

A well-educated midwifery workforce is critical to providing quality health services. However, the quality of midwifery education in Nigeria is identified as a factor contributing to the country’s poor maternal and neonatal health outcomes and inability to meet global development goals. This study aimed to analyse the process used to strengthen the quality of midwifery education with the aim of generating a middle-range model to prepare competent and confident midwifery graduates. The Strauss and Corbin version of the Grounded Theory approach that is underpinned by the Social Constructivism Paradigm was adopted for this qualitative study. Strengthening the quality of midwifery education (SQME) emerged as the model’s core phenomenon. Major concepts, including the midwifery education context, nature of the curriculum, SQME process, pillars, and outcomes, supported the core phenomenon. Strengthening the quality of midwifery education can be achieved over a long time provided the pillars of SQME are deep-rooted to sustain the process of strengthening the quality of midwifery education. The model can be used to strengthen the quality of midwifery education and may be adapted to nursing/allied health programmes in Nigeria and other developing countries.

DIGITAL HEALTH AND PUBLIC POLICIES: EVOLUTION AND CHALLENGES FOR BRAZIL

Digital health is a field that involves the use of information and communication technologies to improve the quality, efficiency, and equity of health services. In Brazil, digital health has gained prominence especially after the COVID-19 pandemic, which required the adoption of social distancing measures and the expansion of access to telemedicine, telehealth, and electronic medical records. However, the country faces several challenges in creating public policies that can guide and regulate the creation, implementation, and use of the benefits of digital health. Among these challenges, we can highlight the territorial dimension and regional inequalities, which hinder the universalization and integration of health information systems and the availability of adequate technological infrastructure in all areas of the country. This paper presents a review of public initiatives and policies in Brazil, analyzing scientific publications, standards, resolutions, and laws that address this topic and proposes, as a result, the challenges that need to be overcome in the development or improvement of existing policies in the field of digital health. The challenges facing the development of these policies include the large population and socioeconomic diversity, which require personalized solutions adapted to the different realities and needs of users, as well as ensuring digital inclusion and health literacy; the unequal distribution of medical professionals and other health professionals, which imposes limits on the supply and quality of health services, especially in the most remote and vulnerable areas, and which requires ongoing training of digital health workers; the General Data Protection Law (LGPD) and the adoption of new technologies, which bring new ethical, legal and technical challenges for the protection of the privacy and security of personal health data, as well as for the evaluation of the efficacy, effectiveness and security of digital health solutions. In view of these challenges, it is essential that Brazil develop a national digital health strategy that can define the objectives, guidelines, responsibilities and actions to promote the appropriate and sustainable use of information and communication technologies in health, for the benefit of the Brazilian population.

STUDI SURVEI KEPUASAN PASIEN: PERAN PELAYANAN KEFARMASIAN DI PUSKESMAS AIR DINGIN DALAM MENINGKATKAN KUALITAS LAYANAN KESEHATAN

Puskesmas (Community Health Center) is one of the primary health facilities that is the front line in providing health services to the community. One of the important pillars in improving the quality of health services in the Community Health Center is pharmaceutical services. The intended pharmaceutical services include the provision of drugs, information on drug use, and counseling to patients. Patient satisfaction is an important indicator used in evaluating the quality of health services. This study aims to determine the level of satisfaction felt by patients with pharmaceutical services and evaluate pharmaceutical services at the Air Dingin Community Health Center as a form of improving the quality of health services. This study used a quantitative survey conducted cross-sectionally in September 2024 at the Air Dingin Community Health Center in Padang City with 45 respondents. This study obtained results, namely the level of patient satisfaction in the reliability aspect of 82.78% (very satisfied), the responsive element of 91.81% (very satisfied), the assurance aspect of 98.44% (very satisfied), the empathy aspect of 91.68% (very satisfied), and the tangible aspect of 85.85% (very satisfied). Based on the results of the research that has been conducted, it was concluded that patient satisfaction in all aspects, namely 90.11%, is included in the very satisfied category.

“They are trying their best”: incarcerated individuals’ assessment of general healthcare services in selected Ghanaian prisons

BackgroundThe World Health Organization (WHO) has indicated that the absence of prison health poses a threat to public health, making it important to safeguard access to quality healthcare for incarcerated populations. Although several studies have explored the quality of care in prisons, there is a dearth of empirical evidence on the perspectives of incarcerated individuals. This study investigated incarcerated individuals’ perspectives and opinions on the general healthcare services in Ghanaian prisons.MethodsUtilizing a qualitative approach, focus group discussions were conducted with 51 incarcerated individuals in five prisons sited in the Northern, Middle and Southern zones of Ghana. Thematic analysis following the tradition of Braun and Clarke was conducted. Four of the six constructs of the WHO Health Systems Framework – service delivery, health workforce, access to essential medicines, and leadership and guidance – were applied deductively to organise the data into themes and subthemes.ResultsFour themes were generated from the analysis: “Health service delivery”, “Health workforce in prisons”, “Access to essential medicines” and “Leadership; regulating healthcare services”. Participants rated health services in prisons as below average compared to those available to the general population. The use of nurses as prescribers in prison infirmaries, though consistent with Ghana Health Service policy, seems to negatively influence prisoners’ perceptions of the quality of the health workforce in prisons. Lack of basic equipment and essential medications at the infirmary for common endemic conditions such as malaria coupled with the bureaucratic processes required to access care outside of the prison also negatively affected incarcerated individuals’ perceptions of the quality of health care.ConclusionsIncarcerated individuals perceived that the quality of health services provided in prisons was inferior to that provided in the general population. Addressing challenges associated with the unavailability of essential drugs and equipment, improving the number of health staff, and addressing bottlenecks in accessing urgent care will enhance the experiences of incarcerated populations on the quality of care given.

Unmet Needs of Children and Young Adults With ADHD: Insights From Key Stakeholders on Priorities for Stigma Reduction.

Individuals with ADHD continue to face stigma, which can negatively impact their access to, adherence to, and quality of mental health services, as well as their overall wellbeing. Perspectives of various stakeholders regarding priorities for stigma reduction remain underexplored. This study explores young adult, parent, teacher, and mental health care professional perspectives on unmet needs of children and young adults with ADHD in the Netherlands, in the context of stigma reduction. A total of 24 respondents participated in seven small focus group discussions (FGDs). The FGDs facilitated in-depth discussions exploring stakeholder group perspectives on unmet needs of children and young adults with ADHD in educational, professional, and social settings. Data was analyzed using thematic content analysis. Three thematic categories of unmet needs were identified: (1) a lack of awareness, knowledge, and understanding of ADHD; (2) insufficient personalized approaches in education and health care; and (3) limited accessibility of information and support services. Within theme 1, respondents primarily highlighted the importance of improving education for primary school teachers and mental health care professionals. Theme 2 underscored the need for increased capacity for personalization and attention to the sociopsychological factors of ADHD, alongside recognizing strengths. Theme 3 emphasized the need for easy access to reliable information and mental health care, including peer networks, as well as proper follow-up and continuity of care. Findings highlight the need for improving our understanding of ADHD as a complex biopsychosocial condition, which requires specific adjustments in education and mental health care. Interventions to improve support and disrupt stigmatization should meet diverse needs, incorporate multi-level strategies, and involve key stakeholders.

Examining mental health engagement among veterans diagnosed with serious mental illness.

Engagement in psychosocial mental health services has been found to support and facilitate the process of recovery in individuals with serious mental illness. However, many individuals eligible for these services are not receiving them. Presently, little is known about the factors that contribute to treatment engagement. This study aimed to identify attitudes related to treatment engagement among veterans with serious mental illness enrolled at a large VA medical center. Thirty-six veterans participated in individual qualitative interviews about their beliefs about the efficacy and purpose of mental health care; their perceptions of societal attitudes regarding mental health; and their experiences accessing mental health care. Based on their level of treatment engagement in the last year, veterans were classified as either engaged in psychosocial mental health services (n = 15), engaged in psychiatric medication management only (n = 14), or not engaged in VA mental health services (n = 7). Attitudes associated with level of service usage were examined to identify factors that might improve engagement in treatment and quality of mental health services. Results suggest that provider expertise and rapport were critical to engagement. Our findings also suggest that barriers to accessing care included beliefs about when it was appropriate to request services, stigmatizing attitudes within one's social network, the complexity of the mental health system, and failures of providers and the treatment system to address the needs of a diverse patient population. Implications for clinical training and practice are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The interactive effect of the application of accreditation standards (JCIs) and the practice of administrative control in improving the quality of health services: a study on Yemeni hospitals

BackgroundThis study aimed to examine the interactive effect of applying JCI accreditation standards and administrative control in improving the quality of health services in Yemeni hospitals. By examining the synergistic relationship between these two components, this study sought to shed light on how hospitals can improve their performance and achieve sustainable advancements in healthcare quality.MethodsThis study utilized a quantitative research design and collected data from Yemeni hospitals. The sample size was determined via the Krejcie and Morgan table, which provides a recommended sample size on the basis of the population. A total of 310 healthcare professionals were selected through a random sampling technique. Hypotheses were formulated to examine the impact of JCI accreditation standards and administrative control on healthcare quality. Statistical analyses were also conducted to test these hypotheses and determine the interaction effect between the two variables.ResultsThe results confirmed that applying JCI accreditation standards has a statistically significant positive effect on improving the quality of health services in hospitals. Additionally, the practice of administrative control had a statistically significant effect on healthcare quality. Furthermore, there was an interactive effect between the application of JCI accreditation standards and administrative control, indicating that their combined implementation led to even greater improvements in healthcare quality.ConclusionThe significance of this study lies in its potential to inform healthcare policymakers, administrators, and practitioners about the importance of integrating accreditation standards with robust administrative control measures. The findings emphasize the need for hospitals to prioritize both the implementation of accreditation standards and the establishment of effective administrative control systems to ensure the delivery of high-quality healthcare services. This study contributes to the literature by highlighting the interactive impact of these factors and providing insights into their synergistic relationship.

Factors Affecting the Pattern of Health Service Receipt in Patients with Diabetes Mellitus at the Pangirkiran Health Center, Padang Lawas Utara Regency

Background: Diabetes Mellitus (DM) is a global health problem, with an increasing prevalence rate. In Padang Lawas Utara Regency, especially at the Pangirkiran Health Center, DM sufferers face various obstacles in receiving optimal health services. Objective: The study aims to analyze the factors that affect the pattern of receiving health services for people with diabetes mellitus. Methods: This type of quantitative research with a cross sectional study design was conducted at the Pangirkiran Health Center, Padang Lawas Utara Regency. The population and sample were all 136 patients with diabetes mellate with an exhaustive sampling technique. Data collection using a research questionnaire. The data was processed and analyzed using chi-square tests and logistic regression as well as the presentation of data with tables accompanied by explanations. Results: The results of the study prove that knowledge (p=0.007) and socio-cultural (p=0.008) have a significant effect on the pattern of receiving health services for people with diabetes mellitus. The most influential variable is Exp knowledge (B)=4.942. Conclusion: The conclusion was obtained that knowledge factors about diabetes mellitus and socio-culture play a significant role in determining the pattern of health service receipt. Therefore, it is important for the Pangirkiran Health Center to improve health education programs, improve access to services, and involve families in the process of managing diabetes mellitus. This research is expected to provide policy recommendations to improve the quality of health services for people with diabetes mellitus in the region.

Analysis of Challenges and Opportunities for Improving the Health System in Afghanistan: Innovative Approaches and Sustainable Solutions

This research explores the challenges and opportunities for improving the health system in Afghanistan. The healthcare system is critical to any country's social and economic development. Equitable and comprehensive access to health and medical services is vital for public health and plays a critical role in improving quality of life, reducing poverty, and enhancing workforce productivity. Afghanistan, a country that has experienced decades of war, political instability, and economic crises, faces significant challenges in healthcare. The main objective is to identify the significant issues within the healthcare system and propose sustainable solutions to enhance the quality of health services. Using a mixed-method approach (qualitative and quantitative), data were collected through semi-structured interviews with experts and a review of credible scientific sources. The findings indicate that a lack of healthcare infrastructure, a shortage of specialized human resources, and management issues are among the primary challenges facing Afghanistan's healthcare system. Additionally, opportunities such as international support and utilizing modern technologies in healthcare have been identified. The study concludes that investment in infrastructure, human resource training, and strengthening international collaborations are essential to improve the healthcare situation in Afghanistan.